Treatment for abdominal aortic aneurysm in a patient with hemophilia A: A case report and review of the literature Masayoshi Kobayashi, MD, Masahiro.

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Presentation transcript:

Treatment for abdominal aortic aneurysm in a patient with hemophilia A: A case report and review of the literature Masayoshi Kobayashi, MD, Masahiro Matsushita, MD, Naomichi Nishikimi, MD, Tsunehisa Sakurai, MD, Junki Takamatsu, MD, Yuji Nimura, MD Journal of Vascular Surgery Volume 25, Issue 5, Pages 945-948 (May 1997) DOI: 10.1016/S0741-5214(97)70228-3 Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 Microscopic view of aneurysm (hematoxylin-eosin staining, ×40). Fibrointimal tissue and hyaline degeneration in media and adventitial cell infiltration are shown. Vaso vasurums are slightly dilated; however, there is no specific findings as hemophiliac aneurysm. On histologic evaluation this hemophiliac aneurysm is not different from that of nonhemophiliac aneurysm. Journal of Vascular Surgery 1997 25, 945-948DOI: (10.1016/S0741-5214(97)70228-3) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Administered factor VIII concentrates and plasma level of factor VIII during perioperative course. Factor VIII level was kept at more than 100% during first 3 days and at 80% to 100% for next 7 days and decreased step by step. Factor VIII was administered with use of continuous infusion for first 10 days and with bolus injection for next 7 days. Journal of Vascular Surgery 1997 25, 945-948DOI: (10.1016/S0741-5214(97)70228-3) Copyright © 1997 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions